NPI age
7 years
Enumerated 2018-11-27
● Active
Type 1 · Individual
Lashanda Denise Moore, NP
Moore is 1 of 42 nurse practitioner providers in Stone Mountain and 1 of 8826 in Georgia.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-01-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 8826 active nurse practitioner providers in Georgia.
NPI age
7 years
≈ at median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 20% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-11Enumerated in NPPES
2018
2026
Where they practice
Practice location
5582 Memorial Dr
Stone Mountain, GA 300833215
Mailing address
5582 Memorial Dr
Stone Mountain, GA 300833215
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse Practitioner(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 1205306891 |
Practice context
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.